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Journal of Ophthalmology
Volume 2016, Article ID 1438376, 6 pages
Research Article

How Important Is the Etiology in the Treatment of Epiphora?

1Department of Ophthalmology, Başkent University Konya Research Hospital, 42000 Konya, Turkey
2Department of Ophthalmology, Uludağ University School of Medicine, 16059 Bursa, Turkey
3Department of Ophthalmology, Aksaray State Hospital, 68000 Aksaray, Turkey

Received 19 April 2016; Revised 6 July 2016; Accepted 17 July 2016

Academic Editor: Vasilios F. Diakonis

Copyright © 2016 Mahmut Oğuz Ulusoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. There are several etiological factors that cause epiphora, and treatment differs according to the cause. We aimed to evaluate the etiology of epiphora and the treatment modalities of the affected patients. Materials and Methods. Data of patients who were referred to ophthalmology clinics for epiphora were retrospectively analyzed. All patients were evaluated for epiphora etiology, treatment modalities, and duration of complaints, after complete ophthalmologic examination. Results. This study consisted of 163 patients with a mean age of 64.61 ± 16.52 years (range 1–92 years). Lacrimal system disease (48.4% [79/163]) was the most common cause, followed by ocular surface disease (dry eye/blepharitis) (38.7% [63/163]). Among the patients included in this study, 69% (113/163) did not receive any treatment, whereas only 1.8% (3/163) were treated surgically. About 4.3% of the patients (7/163) had a complaint for more than 5 years () and six of these had chronic dacryocystitis and one had ectropion. Conclusion. Epiphora not only has a negative impact on patients’ comfort, but also puts them at risk for probable intraocular operations in the future. Therefore, the wide range of its etiology must be taken into consideration and adequate etiology-specific treatment options must be applied.